Adams Karen E
Department of Obstetrics and Gynecology, Oregon Health & Sciences University, 3181 SW Sam Jackson Park Road, Portland, OR 97201, USA.
Curr Womens Health Rep. 2002 Dec;2(6):423-8.
All medical specialists struggle with problems that cannot be solved with medical knowledge alone. The field of gynecology is not unique in medicine for the presence of ethical dilemmas, but the nature of the dilemmas are unique. Gynecologists commonly confront complex ethical questions in their practices that can be answered only through thoughtful consideration of the values, interests, rights, goals, and obligations of those involved. In this paper, three ethical issues that commonly arise in the practice of gynecology are presented: adolescent confidentiality regarding reproductive health services, physician conscience and provision of abortion services, and the question of accommodating patient choice of provider gender. Each topic is introduced with a case vignette followed by an analysis of the issues involved and recommendations for resolution.
所有医学专家都面临着仅靠医学知识无法解决的问题。在医学领域，伦理困境并非妇产科所独有，但妇产科伦理困境的性质却是独特的。妇科医生在其执业过程中经常会遇到复杂的伦理问题，这些问题只有通过深入思考相关人员的价值观、利益、权利、目标和义务才能得到解答。本文提出了妇科实践中常见的三个伦理问题：青少年生殖健康服务的保密性、医生的良心与堕胎服务的提供，以及如何满足患者对医疗服务提供者性别的选择问题。每个主题都先通过一个案例 vignette 进行引入，随后对相关问题进行分析并提出解决建议。
